Individual
JONATHAN ANDREW CARTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
WILLIAM AND MARY HALL, 1 CAMPUS DRIVE, WILLIAMSBURG, VA 23186-0001
(757) 221-2790
(757) 221-3412
Mailing address
2002 WESTGATE CIR, WILLIAMSBURG, VA 23185-2093
(757) 258-2492
(757) 221-3412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000074
VA
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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